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1275956203
THERESE MARIE MILLIS
FARMINGTON, NM
NPI
1275956203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NM 3176)
Enumeration Date
2014-01-27
Last Update Date
2014-01-27
Business Address
Dr. THERESE MARIE MILLIS PT DPT
4600 RIO ST
FARMINGTON, NM 87402-4904
Phone number: 720-350-2933
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Mailing Address
Dr. THERESE MARIE MILLIS PT DPT
4600 RIO ST
FARMINGTON, NM 87402-4904
Phone number: 720-350-2933
Copy
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